OBJECTIVE: to describe the process of cross-cultural adaptation and clinical validation of
the Neonatal Skin Condition Score. METHODS: this methodological cross-cultural adaptation study included five steps: initial
translation, synthesis of the initial translation, back translation, review by an
Committee of Specialists and testing of the pre-final version, and an
observational cross-sectional study with analysis of the psychometric properties
using the Adjusted Kappa, Intraclass Correlation Coefficient, and Bland-Altman
Method statistical tests. A total of 38 professionals were randomly recruited to
review the clarity of the adapted instrument, and 47 newborns hospitalized in the
Neonatology Unit of the Clinical Hospital of Porto Alegre were selected by
convenience for the clinical validation of the instrument. RESULTS: the adapted scale showed approximately 85% clarity. The statistical tests showed
moderate to strong intra and interobserver item to item reliability and from
strong to very strong in the total score, with a variation of less than 2 points
among the scores assigned by the nurses to the patients. CONCLUSIONS: the scale was adapted and validated to Brazilian Portuguese. The psychometric
properties of the Brazilian version of the Neonatal Skin Condition Score
instrument were similar to the validation results of the original scale.
Resumo OBJETIVO analisar a ocorrência de hipotermia em recém-nascidos antes e após o banho nas primeiras horas de vida. MÉTODO estudo transversal, no qual se verificou a temperatura axilar de recém-nascidos antes do banho, após o banho, 30 minutos após o banho e 60 minutos, no Centro Obstétrico. Na análise estatística utilizou-se os Testes Qui-Quadrado, t de Student e Mann-Whitney, com α = 0,05. RESULTADOS Foram incluídos 149 recém-nascidos no estudo, evidenciando-se a prevalência de hipotermia neonatal em 40,3% dos casos, tendo associação com significância estatística (p< 0,001) entre a ocorrência de hipotermia neonatal em todos os momentos de verificação de temperatura axilar. Constatou-se correlação estatística significativa entre as variáveis: temperatura da sala de parto e a verificação da temperatura 60 minutos após o banho (p= 0,032). CONCLUSÕES Conclui-se que o primeiro banho pode ser adiado para favorecer a adaptação do neonato ao ambiente extrauterino, prevenindo a ocorrência de hipotermia neonatal.
4-Methylcoumarins were synthesized by microwave-assisted synthesis via Pechmann condensation and their cytotoxic activity against human bladder cancer cell lines was investigated.
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